Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2

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Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Tribute to an African
Public Health Leader

Creativity & Nutrition Science

                                 September 2018 | Issue 2
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Foreword                    BY CHRISTINE TALJAARD-KRUGELL

                                                             In    this issue, Katie shares a beautiful
                                                                   tribute to the recently passed
                                                             African Leader Professor Bongani Mayosi.
                                                                                                          through the ANLP toolbox. Many
                                                                                                          individuals added creativity to their
                                                                                                          list of things that they will start to do
                                                             Professor Mayosi was a South African         more once they return to their working
                                                             NRF A-rated Scientist, a well-respected      environments. These alumni felt that
                                                             cardiologist, Dean of Health Sciences        by being creative, they had more
                                                             at UCT, and a leader in his field. While     energy and were more able to find
                                                             his loss will be felt for many years to      positive problem-solving solutions.
                                                             come, we also want to review the
                                                             spirit that underlies the making of such     Jane writes a brilliant article on creativity,
                                                             leaders. At his eulogy, he was described     making the statement that not only
                                                             as “full of integrity and characterized      CAN creativity be learned – it MUST be
                                                             by creativity and innovation”.               learned. One blogpost frames creativity

  Contents                                                   In his article, Leon speaks about the
                                                             “Power of Purpose”, and how this
                                                             can drive us to be the best version of
                                                                                                          as such: “Creativity is the act of turning
                                                                                                          new and imaginative ideas into reality”.
                                                                                                          When reading this definition, creativity
                                                                                                          becomes framed in practical and
                                                             ourselves. We also focus on creativity,      relevant way to our nutrition fraternity.
  Foreword                                              1    something we may struggle to link our
                                                             nutrition-world when patients dietary        I hope that the ideas shared by Nema,
  Professor Bongani Mayosi: Tribute to a true African        plans follow a specific calculation,         Navneet and Jane, will inspire us all
  Public Health Leader                                  2    policy programmes have outcomes              to be more creative and innovative in
                                                             to be met and research articles have         our path to becoming better leaders.
  The power of purpose                                  6    specific methodologies to follow.

  Creativity & Nutrition Science: A complete anathema        Interestingly, over the past years that I
  or perfect partnership?                               10   have been with the ANLP, I remember
                                                             numerous times that individuals
  Creativity & Nutrition: A story from India            16   reconnected with their creative side

  How to excite people around nutrition..?              19
  Contributors                                          20

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                               THE LEADER                 1
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Professor
                                                                                          leadership style and that he always          leadership principles that characterise the
                                                                                          made time to speak to people. He was         African Nutrition Leadership Programme.
                                                                                          humble and he treated everyone with
                                                                                          respect. Dignity, integrity, honesty and     Prof Mayosi: The Gold

          Bongani Mayosi:
                                                                                          selflessness are among the many words        Standard in African Public
                                                                                          used to describe Prof Mayosi. I did not      Health Leadership
                                                                                          know him personally, but his contribution
                                                                                          to health and his passing at such a young    The following statements were made
                                 Tribute to a true                                        age has affected me and many others in
                                                                                          South Africa, Africa and globally. Thus
                                                                                                                                       by people who worked with Prof
                                                                                                                                       Mayosi, many at the memorial service
               African Public Health Leader                                               I wish to pay tribute specifically to Prof   held at UCT on 2 August 2018. I have
                                                                                                                                       specifically highlighted the leadership
                                                                                          Mayosi’s leadership style. When people
                                                       BY CATHERINE PEREIRA               describe the type of person he was, he       principles that Prof Mayosi was
                                                                                          sounds like a textbook example of the        described as having exemplified:

                                             I‘ m sure that everyone knows the
                                                name Professor Bongani Mayosi
                                             by now, but for our ANLP alumni in
                                                                                             The National Research Foundation South Africa: “Professor Mayosi never
                                                                                             forgot the challenges he had to overcome, and he therefore dedicated himself
                                             countries other than South Africa, he           to mentoring and supporting students faced with similar challenges.”
                                             was the Dean of the Faculty of Health
                                             Sciences at the University of Cape Town         Students described Prof Mayosi as “a guiding light and a brilliant role
                                             (UCT) and he recently passed away               model who always took time to listen to their concerns. Many described
                                             tragically, at the age of 51. In 2017, the      him as humble and kind and said he went out of his way to help them.”
                                             National Research Foundation awarded
                                             Prof Mayosi with A-rating as a “Leading         The National Deputy Minister of Health, Dr Mathume Phaahl said
                                             international researcher in Cardiology          that “Bongani could have been a multimillionaire many times
                                             and Genetics”, in 2009, he was awarded          over, but he chose to serve the people up until the end...”
                                             the county's highest honour, the Order
                                             of Mapungubwe (Silver) by the President         Professor Ntobeko Ntusi, representing the UCT Faculty of Health Sciences
                                             for his clinical and research work. Prof        and Groote Schuur Hospital said that “He was second to none as a
                                             Mayosi was an adviser to the national           clinician. He was loved by his patients who remembered his gentle and
                                             Minister of Health, he was on a number          impeccable bedside manner. As a teacher he was legendary. As a leader,
    PROF BONGANI MAYOSI
                                                                                             Bongani was awesome. His brand of leadership was honest, inspiring,
                                                                                             full of integrity and characterised by creativity and innovation.”
  of Journal Editorial Boards, with a huge   Numerous opinion pieces have been
  number of publications and research        written about Prof Mayosi since his
  outputs and he had held a number of        sudden passing. In writing this tribute, I
                                                                                          Further comments on social media             Bongani Mayosi was characterized by
  important leadership positions. For        have used many quotes that have come
                                                                                          (mostly from students and colleagues         his co-workers. He was so inspirational
  those who want more information on         from others, simply because they were
                                                                                          on Twitter) included the following:          to me and to many others.’
  the ground-breaking achievements and       so well written and provide a personal,
  numerous accolades that he received        accurate description of this inspirational   ‘”Mentor-in-chief; maker of people; and      ‘I feel blessed to have worked under
  can read further in, his extended and      man. Almost all the rhetoric has been        conductor of the orchestra of people         Bongani and benefitted from his
  extremely impressive (45-page) CV          about what a good person he was, the         trying to change the world”. That's how      leadership, kindness and humanity.’
  from 2016 is available online here.        scientific excellence he embodied, his

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                          THE LEADER                3
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
represent suicide as causal series of        The Acting Dean of the UCT Faculty of
  ‘He was never too proud to be one          Let us use Professor                        events culminating in a tragic decision.’    Health Sciences, Dr Reno Morar has
  with our struggle. He marched the
  streets of Cape Town with us in            Mayosi’s life, legacy and                   The World Health Organisation has            prompted all of us to remember that
  his gown to show solidarity to the         untimely death to create                    indicated that depression is common
                                                                                         and increasing, but although there are
                                                                                                                                      “Professor Mayosi was deeply committed
                                                                                                                                      to equity and justice in improving the
  student struggle as an academic….’
                                             awareness and reflect                       known and effective treatments, fewer        health of the people in our country. It
  ‘A humble teacher who was always gentle                                                than 10% of people affected are able to      is therefore fitting that we contribute
  and never needed to show aggression        Many of the pieces that have been written   access these treatments, for a variety       to increasing awareness of depression
  to us those he taught. He was generous     have made strong recommendations            of reasons. Suicide can be prevented.        and other mental health illnesses
  with his complements and would             to consider the stressful academic                                                       in our communities and promoting
  gently show you your blind spots.’         environment and the pressures that are      We know that there are many pressures        destigmatisation of these conditions.
                                             placed on leaders. The unique pressure      on the Higher Education sector in South      We are still working towards wholeness
                                             of health professionals in academia of      Africa and other African countries,          in our many fractured environment and
                                             needing to maintain clinical experience,    coupled with increasing burdens of           systems – in our Faculty, our University
  At the memorial service that was held      balance teaching and learning, research     disease and public health crises across      and our country. We value every member
  at UCT on Thursday 2 August 2018,          and innovation, academic citizenship and    the continent. Academics and health          of our Faculty community – just as
  every speaker that spoke about Bongani     community engagement is overwhelming.       professionals are expected to be available   Professor Mayosi did. Let us commit now
  described how he would always have a
                                                                                         24/7; there are often urgent matters         to create safe and inclusive spaces for
  solution to every problem, that anyone     Dr Lydia Cairncross’ opinion piece stated   that need attention, emergencies and         deep reflection. I encourage personal and
  could ask him anything and we would        that “The fact that Professor Mayosi’s      crises. Leaders need to practice self-       group reflection and let us approach this
  also have a suggestion of what could       job required that he be in the office       care and lead by example in emulating        with honesty, integrity and kindness.”
  be done to improve the situation. The      before dawn and stay late into the night    work-life balance. We can’t continue
  word ‘solution’ was used repeatedly.       and work weekends and many hours in         to allow selfless, caring, dedicated         UCT has created a platform,
  Unfortunately, however, Bongani did        between is not something we should          people such as Professor Bongani             #RememberingMayosi where
  not have the solution or means to          be proud of; it is something we must        Mayosi, who contributed so much to           official letters of condolences have
  access a solution to his biggest problem   examine. Because responsible, caring        say many, to pay the ultimate sacrifice.     been published together with
  of all. Bongani’s family shared that       people will always push themselves                                                       messages from students, colleagues,
  he had been struggling with clinical       to the limit to complete the work that      Social media has also changed the            friends and acquaintances from
  depression for a number of years and       must be done. The failing is in the         manner in which people communicate –         South Africa and globally.
  the end result was that, on Friday         institution that requires this unhealthy    people can now sit behind a computer,
  27 July 2018, he took his own life.        work ethic in order to “perform. … If       concealed, and make cruel, arrogant,         I would like to finish with a quote that
                                             we look at the academics in our faculty,    rude and discriminatory comments to          one of Prof Mayosi’s sisters, Kuthala,
  Professor Alison Lewis, speaking on        balance, self-care and downtime is          anyone, often without consequence.           read (and which she said ‘that Bongani
  behalf of the Dean Committee at UCT        a myth. It simply does not exist…           This seems to be having a spill-over         liked’) at the official provincial funeral
  of the Faculty of Engineering & the
                                                                                         effect into emails, messages and even        service that was held on 4 August 2018 :
  Built Environment, said Mayosi had         Many have indicated that there is a need    media opinion pieces. We need to start
  made personal sacrifices for the benefit   to destigmatise and create awareness                                                     "I shall pass this way but once; any good
                                                                                         thinking a bit more about how we engage
  of others: “He carried the burden of       around mental illness . Mohammed                                                         that I can do or any kindness I can show
                                                                                         with each other, on various forums, we
  responsibility. He carried the burden      Abdullah, writing for the Medical Brief                                                  to any human being; let me do it now. Let
                                                                                         need to start accepting when someone
  of our ambitions, goals, hopes and         states that‘ …we need to be careful of                                                   me not defer nor neglect it, for I shall not
                                                                                         says no, they can’t take something else
  dreams. We could project our loftiest      oversimplifying what depression is: a                                                    pass this way again."
                                                                                         on and we need to start treating each
  ideals of character onto him, but we       complex disease impacted by genes,                                                       - Etiene De Grellet
                                                                                         other better and with more respect.
  can also forget that we are just human.    environment, chemical imbalances
  The most poignant thing we can learn       in the brain, stressors, trauma and
  from any hero is that they are human.”     context. It is misleading to casually

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                          THE LEADER                5
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
The famous psychiatrist Viktor Frankl,       The directing and motivating power

        The power
                                                                                                was enlightened by his experience            of purpose is also at the heart of two
                                                                                                of our (human being’s) search for            of the most acclaimed leadership
                                                                                                meaning and purpose in life under the        roles, i.e. visionary leadership and
                                                                                                most difficult, demanding and life-          transformative leadership.
                                                                                                threatening of circumstances in German

        of purpose
                                                                                                concentration camps during World War         Leaders regarded as both visionary
                                                                                                II. He declared that this desire-driven      and transformative, such as Alexander
                                                                                                self-focus is narcissistic and eventually    the great, Henry Ford, Martin Luther
                                                                                                detrimental to the self. Towards the         King, Nelson Mandela, and Warren
                                                                                                end of his career, Maslow recognised         Buffet, are certainly amongst the most
                                                                         BY LEON COETSEE        the insights of Frankl, admitted he          admired leaders. What qualifies an
                                                                                                was wrong, and even changed his very         individual as a visionary leader and
                                                                                                popular model to accommodate the             a transformative leader? What are
                                                                                                thinking inherent in the second category     their outstanding characteristics?

  T    he author Richard J Strecher
       describes an imaginary drug “that
  has proven (by scientific research) to
                                                  There exists an abundance of evidence
                                                  substantiating this relationship between
                                                  purpose and health, happiness, well-
                                                                                                of purpose classification described below.

                                                                                                This second category has as its basis
                                                                                                                                             Observers and researchers have
                                                                                                                                             proposed rather extensive lists of
                                                                                                                                             characteristics including, being:
  add years to your life; reduce the risk         being and achievement. Having an              the true self (as found in many Western
  of heart attack and stroke; cut your            end purpose in our own lives and              and Eastern religions and in modern          •   A strategic thinker
  risk of Alzheimer disease by more than          within our organisations is generally         psychology) that transcends our self-        •   A risk taker
  half; help you to relax during the day          today recognised as a prerequisite            centred and ego-focussed desires. It is      •   Charismatic
  and sleep better at night; double your          for success and prosperity.                   related to purpose and meaning but           •   An excellent communicator
  chances of staying drug- and alcohol-free                                                     has a determining emphasis on growth-        •   Inspirational
  after treatment; activate your natural          Purpose in life and in work can be            related challenges and contributions         However, a very strong case can be
  killer cells; increase good cholesterol;        classified into two broad categories. The     focused on other people and society.         made that the outstanding characteristic
  and repair your DNA. What if this               first category stems from the self-centred                                                 is an ability to focus followers on a
  imaginary drug reduced hospital stays so        and ego-focussed needs and desires of         One of the recognised, more modern           vision and create their full identification
  much that it put a dent in the national         individuals. This desire driven happiness     theories of motivation, Locke and            with and commitment to this vision.
  health-care crises? Oh, and as a bonus,         and satisfaction are also the foundation of   Latham’s (1984) Goal Setting Theory,
  gave you better sex?” He says the side          many well-known theories of motivation        is based on the motivational power of        A vision is an ideal - a realistic,
  effects will be: “More friends, more            such as that of Maslow, Herzberg and          goals and goal setting, i.e. purposes,       attractive and ambitious, yet credible
  happiness. Deeper engagement in life.”          MacGregor. Abraham Maslow, for                in enhancing individual and team             picture of the future. But, from the
                                                  example, was the founder of humanistic        performance. A well formulated purpose       writer’s perspective - for a vision to
  Stecher then state the obvious - that this      psychology, viewing “self-actualisation”      statement becomes an inner (internal)        elicit identification, commitment and
  drug will be worth billions and that the        as the pinnacle of human existence -          motivator, focusing us on what matters       the passion of followers - it must be
  inventors of this drug will receive Nobel       the stage only reachable after all other      most. The concept of purpose can then        moulded into a purpose statement.
  Prizes and have institutes named after          more basic needs have been satisfied.         be described as “Incorporating self-         The reason for this becomes clear
  them. The wonderful thing is that this                                                        transcending goals of deeper value”.         when one compares an analysis of the
  ‘remedy’ really exists, but it’s not a drug -
                                                                                                                                             concepts of vision, purpose and target.
  ”It is purpose and it is free!“ says Stecher.

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                                 THE LEADER               7
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Visionary and transformative leadership              sentiments, attitudes and behaviours at
            VISION                              PURPOSE                                 TARGET
                                                                                                                       has change, growth, and creating a better            a given time. A significant purpose goes
    • A desired, distant               • An intermediate future               • A short term future                    future at its heart. Change, as associated           beyond ones’ own needs or wants and
      future state                       state                                  state                                  with transformative leadership, is in                is most often based on values such as:
    • Concept                          • Reason                               • Focus                                  almost all cases costly, disruptive and
                                                                                                                       requires energy, effort and commitment.              • Generosity, kindness, caring,
    • Image/imagination                • Intention/intent                     • Goal
                                                                                                                       The need for change should thus be                     relationships, community
    • Dream                            • Higher order objective               • Aim
                                                                                                                       investigated to ensure that a real and               • Courage, ambition achievement,
    • Idea                             • Rationale with deeper                • End
                                                                                                                       meaningful purpose exists, and that the                vitality, expertise
    • Prophesy                           value                                • Home in on
                                                                                                                       fulfilment of this purpose will ensure               • Growth, development,
    • Farsightedness                                                          • Practical
                                                                                                                       the satisfaction of a significant need.                security, independence
                                                                                                                                                                            • Trustworthiness, humility
   A Vision is the broader             A purpose answers the                  Targets are the specific
   picture of a future state           question WHY a vision                  end results (preferably                  We tend to confuse or conflate “purpose”             The determining question remains
   to be realised - the                should be instituted                   measurable and not                       with “meaning” but there are important               - does the plan or change fulfil a
   WHAT AND WHERE                      by being very specific                 necessarily financial) or                differences. For example, meaning in                 real need? Will the end result (the
   we want to be, on                   about the outcomes                     aims we want to achieve.                 life and work speaks to the existential              defined purpose) create a valuable
   achieving this vision.              to be achieved.                        Formulating targets                      question: “Why am I here/why are                     “asset” which does not yet exist?
                                                                              answers questions such                   we here?” – “for what reason?”. But
                                                                              as: Where do we want                     purpose in life and work is concerned                Understanding the value of what is to
                                                                              to go next? Where                        with what we really value. It is embodied            be created by the results/outcomes (the
                                                                              do we want to be                         by the question: “Are we living and                  purpose) of a plan or a change, together
                                                                              next? What must the                      working for what matters most?”.                     with the transferring of these insights and
                                                                              situation be at a specific                                                                    ownership of these values to followers
                                                                              time in the future?                      Our values (those that we really hold                and getting commitment to realise
                                                                                                                       dear) are a result of our cultural                   this purpose, is the essence of both
                                                                                                                       heritage and environment, and of our                 visionary and transformative leadership.
                                                                                                                       education, our experiences, but also the
      Focussing on purpose and                            Together vision, purpose and targets
      working to reach successive                         provide members of a team or an
      targets activates a purpose                         organisation with a long and medium
                                                          term unified and aligned focus, described                    References:
      directed, vision aligned                            in terms of short term measureable
      and action orientated                               outputs. The links and relationship of
                                                                                                                       Frankl, Viktor E. (1959) Man search for meaning. Great Britain: Hodder and Stoughton.
      strategy on route to                                this process is illustrated in Figure 1.                     Strecher, Victor J. Life of purpose: How living for what matters
                                                                                                                       most changes everything. Amazon: Kindle Edition.
      achieve the vision.
                                                                                                                       Locke, Edwin A and Latham, Gary P. (1984) Goal setting: a
                                                                                                                       motivational technique that works! Englewood Cliffs, NJ.

                  VISION                             PURPOSE                               TARGET

       Figure 1: Aligning followers and focusing their coordinated actions on specific targets (measurable outcomes)

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                                                               THE LEADER                9
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Creativity &
     Nutrition Science                                                                          Let me share with you another fact
                                                                                                – CREATIVITY can be learned. In fact,
                                                                                                                                              It is titled ‘Creativity and Science:
                                                                                                                                              The Perfect Couple’ (https://www.
  A complete anathema or perfect partnership?                                                   it must be learned – “Every great             huffingtonpost.com/jayme-cellitioci/
                                                                                                advance in science has issued from a          creativity-and-science-the-perfect-
                                  BY JANE BADHAM                                                new audacity of the imagination” (John        couple_b_4782882.html). She states that
                                                                                                Dewey) or if you prefer Max Plank, “A         “alongside a national agenda to increase
                “The world we have made as a result of the                                      vivid intuitive imagination, for new ideas    STEM (science, technology, engineering,
              level of thinking we have done thus far creates                                   are not generated by deduction, but           and mathematics) literacy, there is a
              problems we cannot solve at the same level of                                     by artistically creative imagination.”        parallel track of growing attention being
                    thinking at which we created them.”                                                                                       placed on creativity.” Why? Because
                                      Albert Einstein                                           My reading took me to a website called        creativity is the act of turning new and
                                                                                                Creativity at Work (www.creativityatwork.     imaginative ideas into reality. The only
                                                                                                com) that writes “A study by George Land      way to solve complex challenges is

  T   here is no doubt that being a leader       doesn’t surprise me that we bemoan             reveals that we are naturally creative        through creativity and thinking differently.
      in todays world requires a whole new       how little progress we make and that           and as we grow up we learn to be
  attitude and set of skills. The challenges     there is little breakthrough thinking.         uncreative. Creativity is a skill that can    We need to make idea generation and
  we face are more complex, things                                                              be developed and a process that can be        idea implementation firmly ingrained
  change in seconds and one of the few           It makes me think of that often quoted         managed… You can learn to be creative         habits. We need to recognise that
  things that is certain, is uncertainty!        but I fear not often digested saying of        by experimenting, exploring, questioning      truly great ideas will not flourish in
                                                 Albert Einstein, “The definition of insanity   assumptions, using imagination                organisations top heavy with programmes
  Just as leadership now has to be more          is doing the same thing over and over          and synthesising information… It              and talk shops. “Great ideas will come in
  about transformation and successful            again but expecting different results.”        requires practice to develop the              organisations with a vision and a mind-set
  team, so to does it require creativity if we                                                  right muscles and a supportive                devoted to innovation and continuous
  are to successfully navigate complexity,                                                      environment in which to flourish.”            improvement – to finding a better way
                                                 Do you remember that question, that
  rapid change and uncertainty. I’m amazed                                                                                                    every day” writes Charles Thompson, the
                                                 I think has been raised at every ANLP
  at the draft agendas when I’m asked to                                                        Wow just like leadership!                     author of the book ‘What a great idea’. He
                                                 since its inception, – can leadership be
  facilitate meetings or strategy sessions                                                                                                    defines the first step to creativity as being
                                                 learned? Perhaps you even remember
  where the clear objective is to come with                                                                                                   freedom – inner freedom to consider
                                                 the discussion around it. Perhaps the          As I read more, I got increasingly excited
  new ideas and solutions to problems –                                                                                                       new ideas and new possibilities. This is
                                                 answer that YES leadership can be              that I am not alone in believing that being
  the very definition of creativity. They are                                                                                                 not always easy and many of us have
                                                 learned, unlocked a door for you if you        creative and being a leader and being a
  so often death by PowerPoint with a 3:1                                                                                                     created boundaries to being creative.
                                                 had always thought that leaders had to         scientist are not mutually exclusive! There
  ratio of being ‘spoken at’ versus ‘being                                                                                                    Once we get over those, we also need
                                                 be born! I know a few ANLP Alumni who          is a wonderful blog by Jayme Cellitioci,
  consulted with’ and co-creating new                                                                                                         to accept that creativity must be more
                                                 have stepped up to leadership roles they       dating back to 2014 in the Huffington
  concepts to address old and seeming                                                                                                         than idea generation - the best ideas
                                                 never imagined they would even consider        Post that is a fabulous read, in fact a
  intractable problems. Being creative. It                                                                                                    are useless unless they are acted on.
                                                 because of that ANLP discussion…               must read for anyone interested in the
                                                                                                link between science and creativity.

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                                  THE LEADER                 11
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Thompson charts the process or                 your muscles in other of the elements and     required attention to detail. I then come     Being creative in problem solving is both
  continuum of creativity as being               find you actually enjoy working in more       back in towards the end when the rest of      challenging and exciting, stimulating
  generation, promotion, design,                 than one! In my context I always say, I see   the team are stuck in the trees and zoom      but nerve-wrecking and demands
  implementation and evaluation. Not             the whole forest but I’m not interested in    us back out to look at the forest again and   both flexibility and discipline.
  everyone enjoys each one of these              every leaf of each tree – in other words I    the big picture we were working towards.
  elements, but then you ensure you              see the issue and have the idea towards
  have a team to cover all the bases, and        addressing it, but I need others to then
  surprisingly you might find yourself flexing   run with making it happen and the

WWW.AFRICANUTRITIONLEADERSHIP.ORG                                                                                                                                THE LEADER              13
Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Here are 6 tips that have worked for me from ‘What a
   great idea’ for developing a more creative mindset:

     1. Practice ‘Ready, Fire…Aim’ thinking.      4. Write down your ideas before you
     That is define the problem (Ready); come     forget them. I keep a small white board
     up with as many ideas as fast as you         next to my bed as ideas often come to
     can without making any judgement of          me in the middle of the night and if I jot
     any idea (Fire); now sift, synthesis and     them down at once, I can roll over and
     choose (Aim). Don’t only use analytical      go back to sleep! And thank goodness
     and deductive reasoning be open to           for voice recording on my phone for
     many ideas no matter how crazy.              those ideas when I’m driving the car.

     2. Create idea friendly environments.        5. Train yourself to avoid (listening
     Drab offices with little light that feel     to or using) killer phrases. Things like
     oppressive don’t encourage creative          ‘yes, but…’; ‘We’ve tried that before…’;
     thinking. Paint a wall in your office a      ‘It will never work here…’; ‘There’s
     funky colour, turn it into a chalkboard;     no evidence…’, ‘We don’t have any
     have a bean bag as well as your desk         money…’ There are some famous killer
     chair; put some toys on your desk or         phrases that were proven spectacularly
     boardroom table (lego, colouring in          wrong - Decca Records on turning
     pens); even a plant and an abstract          down the Beatles in 1962 “Groups
     painting or a painting or statue that        with guitars are on their way out”.
     embraces your vision can make the
     difference. In our office we have a series   6. There are no dumb questions – all
     of three paintings that I commissioned       questions are good. Questions result
     that depict ideal infant and young child     in talking. Talking can result in new
     feeding and there is also an ever-growing    thinking and ideas. In fact, try a new
     number of statues from all over the                                                       What I love most about creativity is    A series of pictures commissioned
                                                  frame of mind by replacing ‘We’ve got
     world of mothers and children. These                                                      its ability to perceive the world in    to embody our vision in our work
                                                  to find the solution’ with ‘We need to
     inspire me towards solution thinking.                                                     new ways, to find hidden patterns, to   in optimal infant and young child
                                                  look at some possible solutions for this
                                                                                               make connections between seemingly      feeding and that inspire me to think
                                                  problem.’ It opens a whole new world.
                                                                                               unrelated phenomena, and to generate    creatively towards solutions.
     3. If at first you don’t succeed – take
                                                                                               solutions. To end, my favourite quote
     a break. Get up from your desk, get a
                                                                                               from the inventor Thomas “There
     coffee, have a chat to a colleague or
                                                                                               ain’t no rules around here! We’re
     even just come back to it tomorrow.
                                                                                               trying to accomplish something!”

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Tribute to an African Public Health Leader Creativity & Nutrition Science - September 2018 | Issue 2
Creativity                                                                       A mother with a child between 4 and
                                                                                                   17 years can enter the foods eaten by
                                                                                                   her child at each meal throughout the
                                                                                                                                                            with other specifications like serving
                                                                                                                                                            size and information on added sugar.
                                                                                                                                                            A similar pattern is followed at lunch,

                  & Nutrition:
                                                                                                   day. Figure 2 below shows an example                     dinner and any other meals. All menu
                                                                                                   of the food options that can be selected                 items in the App have been included
                                                                                                   for breakfast. A mother can choose                       considering the food habits of Indians
                                                                                                   up to 4 menu items that her child may                    across various regions (including
                                                                                                   have consumed for breakfast, along                       the great variety across regions).
                                   A story from India
                                     BY NAVNEET MITTAL

  India was ranked 97th of 118 nations
   in the Global Hunger Index (2016),
  primarily due to subclinical micronutrient
                                                    if their child is not ill, then the child is
                                                    healthy. It is hard to convince her that the
                                                    child may have subclinical micronutrient
  deficiencies (e.g. Iron, Zinc, Vitamin            deficiencies when she is unable to
  D, Vitamin A), also known as ‘hidden              see any overt signs or symptoms.
  hunger’. The Indian National Health
  Policy (2017) states that one key focus           Considering this challenge an online
  should be to create public awareness              resource was created – the Nutrimeter
  of the issue and encourage parents to             Diet Assessment Tool (Figure 1).
  feed their children a more diverse diet.
  However, Indian mothers believe that

                                                                                                   Figure 2: Input in the Nutrimeter Diet Assessment Tool

                                                                                                   The tool then assesses the intake of                     her child is receiving adequate essential
                                                                                                   nutrients for the day and identifies                     micronutrients regularly. For example,
                                                                                                   the gaps when compared to the                            Figure 3 below shows the intake of a
                                                                                                   recommended daily dietary allowance                      child as assessed by the Nutrimeter
                                                                                                   (RDA) for Indian children of that age. The               tool for energy, fat, carbohydrates and
                                                                                                   aim is to help the mother identify these                 protein along with key micronutrients
                                                                                                   hidden micronutrient deficiencies and                    like Vitamin C, Iron, Folic Acid etc. In
                                                                                                   plan menu items better to make sure

      Figure 1: A Nutrimeter Diet Assessment Tool

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this example, the child consumes more
                                                            than adequate fat during the day which          How to excite people
                                                                                                           around nutrition..?
                                                            is indicated by the green color, however
                                                            the intake of other macronutrients like
                                                            carbohydrate, protein etc is inadequate
                                                            (indicated by the orange color if intake is
                                                            between 50% and 100%? of RDA). If the
                                                                                                                                                                              BY HEMA KESA

                                                                                                           A
                                                            intake of any nutrient is calculated as less       s it may be difficult for many of       technology with nutrition:
                                                            than 50% of RDA the indicator is red.              us to link nutrition to creativity,
                                                                                                           we asked Hema Kesa, a community             • Create FREE Apps (Heathy eating,
                                                            This tool has been extremely helpful in        nutrition expert from the University of       healthy lifestyles and nutrition
                                                            creating public awareness on hidden            Johannesburg, to provide us with some         education) for mobile phones.
                                                            hunger and supporting balanced meal            ideas. She gave us some great tips on       • Create FREE games (Heathy eating,
                                                            planning, especially for vulnerable            how to be creative in the school food         healthy lifestyles and nutrition
                                                            populations such as children. This online      environment and how to use technology         education) for mobile phones.
                                                            tool was combined with a 360-degree            to engage people around nutrition.          Such Apps could be useful for the
                                                            communication campaign via various                                                         general public but also for school
                                                            mediums like print, TV etc. to further         Creativity in schools and how it            learners as most secondary learners have
                                                            raise awareness of the prevalence of           can move nutrition forward.                 smart phones. Different educational
                                                            subclinical micronutrient deficiency                                                       levels could be introduced.
                                                            in Indian children (Figure 4).                 • Dedicate a corner in the class, maybe
                                                                                                             as part of Life Orientation/Skills, to
                                                                                                             good nutrition and healthy eating – put   Thinking about single parents, an
                                                            These examples highlight the importance                                                    App that gives easy, healthy recipes
                                                            of presenting scientific information on          up posters and/or make a table display
                                                                                                           • As part of Nutrition Education:           that kids love could be useful.
  Figure 3: Output of the Nutrimeter Diet Assessment Tool   nutrition in consumer friendly, easy to
                                                            understand language through media                paint messages on waste bins
                                                            channels that can access the masses. It is       or on one wall in the school              Depending on the intention of the
                                                            only when CREATIVITY is integrated with        • Learners already take part in             message, these Apps may also be useful
                                                            Nutrition Science that MAGIC happens!            competitions such as World                for pregnant women and new mothers
                                                                                                             School Milk Day: get the learners         to promote breastfeeding and have a
                                                                                                             to also make creative drawings            Q&A section for nutrition knowledge.
                                                                                                             or items out of milk cartons              One such example is MomConnect,
                                                                                                           • Other initiatives could involve           an SMS service for pregnant mums in
                                                                                                             Chef demonstrations, or                   South Africa. While this isn’t specifically
  Figure 4:                                                                                                  healthy lunchbox competitions             nutrition focused there is a Q&A section
                                                                                                             amongst industry partners                 including information on breastfeeding.
                                                                                                                                                       Such services are certainly often well
                                                                                                           Technology and nutrition                    received, half of women registering
                                                                                                           – the future:                               their pregnancy in the public sector
                                                                                                           Against the background of the               (amounting to over half a million
                                                                                                           4th Industrial Revolution and               women) registered for the MomConnect
                                                                                                           the development of Artificial               service (Barron et al., 2016).
                                                                                                           Intelligence, one needs to incorporate

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Contributors
                                                                                                                   THE LEADER is published and distributed
                                                                                                                   as an electronic version only. THE LEADER
                                                                                                                   appears on the ANLP’s website (www.
                                                                                                                   africanutritionleadership.org). Comments
                                                                                                                   and success-stories linked to any of the
                                                                                                                   focus areas of the ANLP are welcomed and
                                                                                                                   can be posted on the ANLP LinkedIn site.

                                                                                                                   Please send any correspondence or
                                                                                                                   initiatives to Christine Taljaard-Krugell
                                                                                                                   (africannutritionleadership@gmail.com).
  Christine Taljaard-Krugell - Editor   Lisa Ware - Language Editor     Catherine Pereira
  Part-time researcher and Lecturer &   Researcher. University of the   Lecturer: Department of Dietetics
  RSA Registered dietician              Witwatersrand.                  and Nutrition; Faculty of Community        Design by Graphikos:
  Centre of Excellence for Nutrition,   lisa.jayne.ware@gmail.com       and Health Sciences; University of the     graphikos@nwu.ac.za, 018 299 4232
  North West University,                                                Western Cape.
  Potchefstroom Campus                                                  cpereira@uwc.ac.za
  christine.taljaard@nwu.ac.za

  Leon Coetsee                          Jane Badham                     Hema Kesa                                Navneet Mittal
  Extraordinary professor,              Managing Director JB            Academic Head of Department:             Independent Nutrition Consultant,
  Centre of Excellence for Nutrition,   Consultancy, South Africa       Hospitality Management                   Kenya, Nairobi
  North West University,                jane@jbconsultancy.co.za        School of Tourism and Hospitality        navneetmittal@gmail.com
  Potchefstroom Campus                                                  (STH) University of Johannesburg
  Leon11@vodamail.co.za                                                 hemak@uj.ac.za

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